School for Health and Care Radicals at Expo

@HelenBevan #NHSExpo14

and staying in it: The School for Health and Care

Radicalswww.changeday.nhs.uk/healthcareradicals

Helen Bevan Source of image: showstudio.com

http://www.changeday.nhs.uk/healthcareradicals


• Background to The School for Health and Care Radicals

• Context: emerging directions in transformation and change

• Being, seeing and doing change• The difference between a radical and a troublemaker• How to thrive and survive as a radical• Next steps with The School for Health and Care

RadicalsSource of image: www.freshnessmag.com

for today


• Part of NHS Change Day 2014

The School for Health and Care Radicals


Source: @NHSChangeDay


Part of NHS Change Day 2014 Five weekly learning modules, live on Friday mornings and

available 24/7



31st January: Being a health and care radical: change starts with me7th February: Forming communities: building alliances for change14th February: Rolling with resistance21st February: Making change happen28th February: Moving beyond the edge

Modules



Part of NHS Change Day 2014 Five weekly learning modules, live on Friday mornings and

available 24/7 Materials, inc a weekly study guide to back up the modules

changeday.nhs.uk/healthcareradicals Weekly Storify and Pinterest summaryA weekly tweetchat, 4-5pm on Wednesdays #SCHRchatA chat forum

www.changeday.nhs.uk/healthcareradicalsforum A mentor if requestedOrganised by NHS Improving Quality


http://www.changeday.nhs.uk/healthcareradicalsforum


The School for Health and Care RadicalsPromoted through social mediaMore than 1,300 enrollees from 26 countries90 volunteer mentorsAverage weekly twitter reach 2.6 millionOver 10,000 shares of the slides on SlideShareOver 1,800 shares of the study guides on

SlideShareMore than 5,000 tweets using #SCHRchatStorify has been viewed nearly 1,000 times


Feedback


The genesis of the School

2002

2014

2013

20102012

2003

NHS Change Day 2013

“A school for healthcare radicals”

Applying social movement

thinking to healthcare

improvement

“The School for Health and Care

Radicals”

“A one day school for organisational

radicals”

Applying community organising

principles to healthcare

improvement


Change agents “fit for purpose” for the new era

Organisation CommunityPower through hierarchy Power through connectionMission and vision Shared purposeMaking sense through rational argument

Making sense through emotional connection

Leadership-driven (top down) innovation

Viral (grass-roots driven) creativity

Tried and tested, based on experience

“ Open” approaches , sharing ideas & data, co-creating

change

Transactions Relationships

Dominantapproach

Emerging direction

Source: @HelenBevan


John Kotter: “Accelerate!”

• We won’t create big change through hierarchy on its own

• We need hierarchy AND network• Many change agents, not just the usual few • Changing our mindset

• From “have to” to “want to”• Head and heart, not just head

Source of image:www.slideshare.net/mexicanwave/champions-trolls-10-years-of-the-cipd-online-community


The Network Secrets of Great Change AgentsJulie Battilana &Tiziana Casciaro

1. As a change agent, my centrality in the informal network is more important than my position in the formal hierarchy

2. If you want to create small scale change, work through a cohesive network

If you want to create big change, create bridge networks between disconnected groups


is the new normal!

“By questioning existing ideas, by opening new fields for action, change

agents actually help organisations survive and adapt to the 21st Century.”

Céline SchillingerImage by neilperkin.typepad.com


@rebelsatwork rebelsatwork.com

Across the world, the change agent movement is exploding!

@chagwwChangeagentsworldwide.com

@corprebelsCorporaterebelsunited.com

@helenbevan #1000LivesPlusImage copyright: http://13c4.wordpress.com/2007/02/24/50-reasons-not-to-change/

@helenbevan@HelenBevan #qmicro

What happens to heretics/radicals/rebels/mavericks

in organisations?


The 90/30 conundrum

of senior leaders say that to create more

innovation, they need to activate the

radicals/rebels in their organisations

of senior leaders are very satisfied that radicals/rebels can

provide this value in their organisations

Source: rebelsatwork.com


We need to be boatrockers!• Rock the boat but manage to

stay in it• Walk the fine line between

difference and fit, inside and outside, Able to challenge the status quo when we see that there could be a better way

• Conform AND rebel• Capable of working with others

to create success NOT a destructive troublemaker Source: Debra Meyerson

@helenbevan#NHSChangeDay #SHCRchatSource : Lois Kelly www.foghound.com

Sometimes people see us radicals as troublemakers

Rebel

http://www.foghound.com/


Reflection

• What are your insights around “radicals” and “troublemakers”?

• What moves people from being “radical” to “troublemaker”?

• How do we protect against this?


Valuing radicals

• “New truths begin as heresies” (Huxley, defending Darwin’s theory of natural selection)

• Big things only happen in organisations because of heretics and radicals.

GALILEO DESCRIBES HIS DISCOVERIES TO THE CHURCH ESTABLISHMENT


Peter Fuda’s Transformational Change Agent framework

Skills and methods for creating change

Ability to make sense of, and reshape perceptions of ‘reality’

Personal characteristics and qualities


Peter Fuda’s Transformational Change Agent framework: our perspective

“Doing”• Where most change agents

in health and care put most of their effort and emphasis

• What others typically judge us on

• What we often perceive we need to do to add value

• What most change and improvement courses focus on


Peter Fuda’s Transformational Change Agent framework: our perspective

“Seeing ” and “Being”• We can only do effective

“doing” if we build on strong foundations of “seeing and being”

• Change begins with me• Hopeful futures, creative

opportunities and potential• Multiple lenses for change • See myself in the context of

my higher purpose

@helenbevan@HelenBevan @RobertVarnam #IHI25Forum #ChangeAgents

"There’s only one corner of the

universe you can be certain of

improving, and that’s your own

self." Aldous Huxley

Source of image: timcoffeyart.wordpress.com


‘I do not think you can really deal with change without a person asking real

questions about who they are and how they belong in the world’

David Whyte, The Heart Aroused 1994

Source of image: fistfuloftalent.com


1. Driven by conviction and values2. strong sense of “self-efficacy”

belief that I am personally able to create the change

3. able to join forces with others to create action4. able to achieve small wins which create a sense

of hope, self-efficacy and confidence5. More likely to view obstacles as challenges to

overcome

Five things we know about successful boat rockers

Source: adapted from Debra E Meyerson

CHANGE

me

BEGINS WITH


Self-efficacy

“If you think you can or think you

can't, you are right.”

Henry Ford

“The ability to act is tied to a belief that it is possible to do so”

Albert Bandura

There is a positive, significant relationship between the self-efficacy beliefs of a

change agent and her/his ability to facilitate change

and get good outcomes

Source of image:www.h3daily.com


What’s the difference between

self efficacyand

self esteem,self belief,

self-confidence?



What is the issue here?“permission” ?

(externally generated)or

Self efficacy ? (internally generated)


Reflection

What are some ways that health and care radicals can build self-efficacy?


Building self-efficacy: some tactics1. Invest in your own change agent development (modules 2-5)

• create the conditions where success is more likely to happen

2. Create change one small step at a time3. Reframe your thinking:

• failed attempts are learning opportunities• uncertainty becomes curiousity

4. Make change (and learning cycles from change) routine rather than an exceptional activity5. Get social support6. Learn from the best7. Get people whose opinions you value to encourage you (mentor?)


1. Driven by conviction and values2. strong sense of “self-efficacy”

belief that I am personally able to create the change

3. able to join forces with others to create action4. able to achieve small wins which create a sense

of hope, self-efficacy and confidence5. More likely to view obstacles as challenges to

overcome

Five things we know about successful boat rockers

Source: adapted from Debra E Meyerson

CHANGE

me

BEGINS WITH

@helenbevan #IQTGOLD#NHSChangeDay

“I have some Key Performance

Indicators

for you”

or

“I have a dream”

Source: @RobertVarnam


Three assumptions for health and care radicals

1. Assume that everyone has a noble intention.2. When people “resist” change is it more likely

to be a result of their interpersonal interaction with the change process than their innate character traits (“a bad change process not a difficult person”).

3. My role as a change agent is about alignment, not judgement.

Source of image:help.adobe.com


www.changeday.nhs.uk/healthcareradicals

http://www.changeday.nhs.uk/healthcareradicals


Outwitted

He drew a circle that shut me out -Heretic, rebel, a thing to flout.But Love and I had the wit to win:We drew a circle that took him in.

Edward Markham

School for Health and Care Radicals at Expo

Health & Medicine

Transcript of School for Health and Care Radicals at Expo